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Tue Feb 20 20:26:14 GMT 2007

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John Fiedler 
email: jfiedler at idph.state.ia.us 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of David Sullivan
Sent: Tuesday, February 20, 2007 2:14 PM
To: Bjorn, Pret; trauma-list at trauma.org
Subject: Re: Chestnut TBI Article

Pret, 

  Kinda difficult to read b/c its rotated 180o, anyway no problem. This
course that I took related BP and Spo2, and the combination of the both
as predictors for outcome in pt taken to apprioate trauma centers. It
was interesting to note that pts that kept a SBP above 90, but had
moderate Spo2 below 90% had a 1/2 high mortalilty rate. we were told
that GCS whether improving or decreasing is the best indicator for
immediate crainotomy or ICP montoring...I know that SBP is important in
the ?TBI pt, but I didnt know it was that important, right up there with
Airway....any opinion?

"Bjorn, Pret" <pbjorn at emh.org> wrote:
      <<TBI_2.pdf>> <<TBI_1.pdf>> 
  Forwarded in two parts, as was delivered to me. 
  Let me know what you think.
  Pret

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Chestnut TBI Article